Untitled, p.25
Untitled, page 25
Beta-lactam Antibiotics Penicillin/Amoxicillin/Amoxicillin-Clavulanate/Bicillin/ Cephalosporins
The PANS/PANDAS Journey: Considering PANDAS, 21, 24
Meet the Infectious Agents: Group A Streptococcus and PANDAS, 43
Meet the Infectious Agents: Other Infections: Parasites, Clostridia, Lyme Disease, and
Co-infections, 78
Eradicate the Pathogens: All About Antimicrobials, 86, 87
Case Studies: PANDAS/Autoimmunity: James, 186, 188
Case Studies: OCD and PANS/PANDAS: Dante, 193, 195
Case Studies: Lyme, Multiple Co-Infections, and Basal Ganglia Encephalitis: Avery, 222
Case Studies: PANDAS and Mold: Hannah, 227
Case Studies: PANDAS, Mold, Babesia and Dysautonomia: Zevin, 231
Case Studies: Tics and Antioxidants: Caleb, 242
Case Studies: PANDAS, Crohn’s, and HDCs: Charlie, 248
Case Studies: Autism and HDCs: Ty, 255
Binders (Charcoal, Cholestyramine (CSM))
Meet the Infectious Agents: Yeast Dysbiosis, 59
Meet the Infectious Agents: Mold and Chronic Inflammatory Response Syndrome (CIRS),
62, 65, 66
Meet the Infectious Agents: Other Infections: Parasites, Clostridia, Lyme Disease, and
Co-infections, 79
Immunotherapy: HDCs: Helminth Therapy, 99
Symptom-Specific Treatment: Constipation, 173
Case Studies: OCD and PANS/PANDAS: Dante, 193
Case Studies: Multiple Infection PANS/PANDAS: Matt, 200
Case Studies: Multiple Infections, Vitamin Deficiency, and Mycotoxins: Sofia, 218
Case Studies: Lyme, Multiple Co-Infections, and Basal Ganglia Encephalitis: Avery, 222
Case Studies: PANDAS and Mold: Hannah, 227
Case Studies: PANDAS, Mold, Babesia and Dysautonomia: Zevin, 231, 233
279
Demystifying PANS/PANDAS
Biofilm
Meet the Infectious Agents: Viruses, 51
Meet the Infectious Agents: Yeast Dysbiosis, 58
Meet the Infectious Agents: Other Infections: Parasites, Clostridia, Lyme Disease, and
Co-infections, 71, 78
Eradicate the Pathogen: All About Antimicrobials, 91
Immunotherapy: Nutrition, 122
Case Studies: Multiple Infections, Vitamin Deficiency, and Mycotoxins: Sofia, 218
Biotin
Meet the Infectious Agents: Yeast Dysbiosis, 57
Biotoxin
Meet the Infectious Agents: Mold and Chronic Inflammatory Response Syndrome (CIRS),
61, 62, 64, 66
Black walnut
Meet the Infectious Agents: Other Infections: Parasites, Clostridia, Lyme Disease, and
Co-infections, 71
Eradicate the Pathogens: All About Antimicrobials, 92
Borrelia, See Lyme (Borrelia)
Botox/Botulinum toxin
Symptom-Specific Treatment: Tics, 142
B Vitamins (Pyridoxine/Niacin/B complex/B12)
The PANS/PANDAS Journey: Laboratory Test List, 6
Meet the Infectious Agents: Other Infections: Parasites, Clostridia, Lyme Disease, and
Co-infections, 81
Immunotherapy: Nutrition, 123
Symptom-Specific Treatment: Anxiety, 133
Symptom-Specific Treatment: Brain Fog, 161
Case Studies: Mitochondrial Dysfunction and Mycoplasma: Elijah, 212
Case Studies: OCD/POTS: Kristen, 238, 240
Case Studies: Tics and Antioxidants: Caleb, 243-245
Cam Kinase (Calcium-dependent Calmodulin Protein Kinase II)
Meet the Infectious Agents: Group A Streptococcus and PANDAS, 42
Case Studies: Multiple Infections, Vitamin Deficiency, and Mycotoxins: Sofia, 216
Case Studies: Autism and HDCs: Ty, 255
Candida albicans (See also Tinea/Yeast Dysbiosis)
The PANS/PANDAS Journey: Considering PANDAS, 21
Meet the Infectious Agents: Yeast Dysbiosis, 56, 57
Eradicate the Pathogens: All About Antimicrobials, 91
280
Nancy O’Hara, MD, MPH, FAAP
Immunotherapy: Nutrition, 122
Cannabinoids/CBD/Hemp Oil
Meet the Infectious Agents: Mold and Chronic Inflammatory Response Syndrome (CIRS), 66
Immunotherapy: Inflammation, 105, 108
Symptom-Specific Treatment: Tics, 140
Symptom-Specific Treatment: Obsessive-Compulsive Disorder (OCD), 153
Case Studies: Autism and Mycoplasma PANS/PANDAS: Rashad, 204
Case Studies: PANDAS, Mold, Babesia and Dysautonomia: Zevin, 232
Case Studies: PANDAS, Crohn’s, and HDCs: Charlie, 249
Caprylic Acid
Meet the Infectious Agents: Yeast Dysbiosis, 57
Eradicate the Pathogens: All About Antimicrobials, 91
Immunotherapy: Inflammation, 104
Case Studies: Multiple Infections, Vitamin Deficiency, and Mycotoxins: Sofia, 218
Case Studies: PANDAS, Crohn’s, and HDCs: Charlie, 249
Carnitine
The PANS/PANDAS Journey: Laboratory Tests, 6
The PANS/PANDAS Journey: Considering PANDAS, 19
Meet the Infectious Agents: Mycoplasma and PANS, 47
Symptom-Specific Treatment: Constipation, 173, 175
Case Studies: Mycoplasma/OCD: Eva, 208
Case Studies: Mitochondrial Dysfunction and Mycoplasma: Elijah, 212
Casein
Immunotherapy: Inflammation, 104
Immunotherapy: Nutrition, 124
Case Studies: Multiple Infection PANS/PANDAS: Matt, 198
Case Studies: PANDAS, Crohn’s, and HDCs: Charlie, 247
Cerebral Folate Deficiency (CFD)
Symptom-Specific Treatment: Anxiety, 133
Symptom-Specific Treatment: Tics, 141
Chamomile
Immunotherapy: Nutrition, 125
Symptom-Specific Treatment: Tics, 141
Symptom-Specific Treatment: Sleep, 167
Charcoal (See Binders)
Chiropractic (See Osteopathy/Physical Therapy)
Cholestyramine (CSM, See Binders)
Choline
Symptom-Specific Treatment: Tics, 143
281
Demystifying PANS/PANDAS
Choreiform movements (piano playing fingers)
The PANS/PANDAS Journey: Considering PANDAS, 12, 13, 15-17
The PANS/PANDAS Journey: The Introduction of PANS, 28
Meet the Infectious Agents: Group A Streptococcus and PANDAS, 41
Case Studies: PANDAS/Autoimmunity: James, 187, 190
Case Studies: OCD and PANS/PANDAS: Dante, 192
Case Studies: Autism and Mycoplasma PANS/PANDAS: Rashad, 203
Case Studies: Mycoplasma/OCD: Eva, 208
Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)
Case Studies: Lyme, Multiple Co-Infections, and Basal Ganglia Encephalitis: Avery, 222
Cinnamon
Immunotherapy: Nutrition, 121, 122
Clonidine (See alpha-blocker)
Clostridia (C diff)
Meet the Infectious Agents: Other Infections: Parasites, Clostridia, Lyme Disease, and
Co-infections, 69, 71-73
Coconut Oil (See Caprylic Acid and Monolaurin)
Cognitive Behavioral Therapy (CBT) – Dialectical Behavioral Therapy (DBT)/Exposure
Response Prevention (ERP)
The PANS/PANDAS Journey: Considering PANDAS, 20
The PANS/PANDAS Journey: The Introduction of PANS, 30
Immunotherapy: Inflammation, 109
Symptom-Specific Treatment: Tics, 138, 145
Symptom-Specific Treatment: Obsessive-Compulsive Disorder (OCD), 151
Symptom-Specific Treatment: Brain Fog, 161
Symptom-Specific Treatment: Neurotherapy, 177-180
Case Studies: PANDAS/Autoimmunity: James, 188
Case Studies: PANDAS, Mold, Babesia and Dysautonomia: Zevin, 233
Colloidal silver
The PANS/PANDAS Journey: The Introduction of PANS, 29
Meet the Infectious Agents: Mycoplasma and PANS, 47
Eradicate the Pathogens: All About Antimicrobials, 89
Case Studies: Mitochondrial Dysfunction and Mycoplasma: Elijah, 213
Constipation
The PANS/PANDAS Journey: Considering PANDAS, 19
Meet the Infectious Agents: Yeast Dysbiosis, 55
Meet the Infectious Agents: Mold and Chronic Inflammatory Response Syndrome (CIRS), 66
Meet the Infectious Agents: Other Infections: Parasites, Clostridia, Lyme Disease, and
Co-infections, 82
Immunotherapy: HDCs: Helminth Therapy, 99
282
Nancy O’Hara, MD, MPH, FAAP
Immunotherapy: Inflammation, 101, 106
Symptom-Specific Treatment: Anxiety, 134
Symptom-Specific Treatment: Tics, 139, 141
Symptom-Specific Treatment: Obsessive-Compulsive Disorder (OCD), 154, 155, 169
Symptom-Specific Treatment: Constipation, 171-176
Case Studies: PANDAS/Autoimmunity: James, 185-187
Case Studies: Autism and Mycoplasma PANS/PANDAS: Rashad, 203, 204
Case Studies: PANDAS and Mold: Hannah, 225
Case Studies: Autism and HDCs: Ty, 256, 257
Cordyceps
Eradicate the Pathogens: All About Antimicrobials, 89
Symptom-Specific Treatment: Anxiety, 133
Corticosteroids (See Steroids/Corticosteroids)
COVID-19
Meet the Infectious Agents: Viruses, 49, 50, 51
Immunotherapy: Inflammation, 102
Immunotherapy: The Addition of Antioxidants, 117
Case Studies: PANDAS and Mold: Hannah, 228
Case Studies: PANS and COVID: Layla, 260-263
Coxsackie
Case Studies: Multiple Infections, Vitamin Deficiency, and Mycotoxins: Sofia, 216
Craniosacral (See Osteopathy)
Crohn’s
Case Studies: PANDAS, Crohn’s, and HDCs: Charlie, 249
Cromolyn Sodium
Immunotherapy: Inflammation, 103
Cryptolepis
Meet the Infectious Agents: Mycoplasma and PANS, 47
Curcumin (Turmeric)
Meet the Infectious Agents: Mycoplasma and PANS, 47
Meet the Infectious Agents: Mold and Chronic Inflammatory Response Syndrome (CIRS), 66
Immunotherapy: Inflammation, 104, 105, 107
Immunotherapy: The Addition of Antioxidants, 118
Immunotherapy: Nutrition, 121
Case Studies: PANDAS/Autoimmunity: James, 188
Case Studies: Lyme, Multiple Co-Infections, and Basal Ganglia Encephalitis: Avery, 221,
222
Case Studies: Autism and HDCs: Ty, 256, 257
Case Studies: PANS and COVID: Layla, 261
283
Demystifying PANS/PANDAS
Cytokine(s)/NK cells/NF-kB
Meet the Infectious Agents: Mold and Chronic Inflammatory Response Syndrome (CIRS),
62, 64
Eradicate the Pathogens: All About Antimicrobials, 87
Immunotherapy: Inflammation, 106, 108
Immunotherapy: The Addition of Antioxidants, 115, 116
Immunotherapy: Nutrition, 121
Dialectical Behavioral Therapy (DBT), (See Cognitive Behavioral Therapy (CBT) - Dialectical
Behavioral Therapy (DBT)/Exposure Response Prevention (ERP))
Die-off, See Herxheimer/Die-off/Healing crisis
Diet/Nutrition/ “Anti-inflammatory diet”
Meet the Infectious Agents: Yeast Dysbiosis, 56, 58
Immunotherapy: Inflammation, 103-105, 109
Immunotherapy: The Addition of Antioxidants, 118
Immunotherapy: Nutrition, 119, 120, 126, 127
Symptom-Specific Treatment: Tics, 139, 140, 143, 144
Symptom-Specific Treatment: Obsessive-Compulsive Disorder (OCD), 155
Symptom-Specific Treatment: Sleep, 166, 169
Symptom-Specific Treatment: Constipation, 172, 174
Case Studies: PANDAS/Autoimmunity: James, 186
Case Studies: Multiple Infection PANS/PANDAS: Matt, 198
Case Studies: Lyme, Multiple Co-Infections, and Basal Ganglia Encephalitis: Avery, 221
Case Studies: OCD/POTS: Kristen, 240
Case Studies: Tics and Antioxidants: Caleb, 241
Case Studies: PANDAS, Crohn’s, and HDCs: Charlie, 247
Dysautonomia/Postural Orthostatic Tachycardia Syndrome (POTS)
Immunotherapy: Inflammation, 104
Symptom-Specific Treatment: Anxiety, 132
Symptom-Specific Treatment: Tics, 141
Symptom-Specific Treatment: Brain Fog, 158
Case Studies: PANDAS, Mold, Babesia and Dysautonomia: Zevin, 231, 233
Case Studies: OCD/POTS: Kristen, 238-240
Dysgraphia/Handwriting deterioration
The PANS/PANDAS Journey: Considering PANDAS, 12, 13
The PANS/PANDAS Journey: The Introduction of PANS, 33, 35
Meet the Infectious Agents: Group A Streptococcus and PANDAS, 41
Symptom-Specific Treatment: Brain Fog, 158
Case Studies: PANDAS/Autoimmunity: James, 187
284
Nancy O’Hara, MD, MPH, FAAP
Case Studies: Autism and HDCs: Ty, 253
Eating disorders/Anorexia
The PANS/PANDAS Journey: Considering PANDAS, 11, 13
The PANS/PANDAS Journey: The Introduction of PANS, 27
Immunotherapy: Inflammation, 111
Immunotherapy: Nutrition, 119, 124, 127, 128
Symptom-Specific Treatment: Tics, 144
Symptom-Specific Treatment: Neurotherapy, 177, 179, 180
Case Studies: Lyme, Multiple Co-Infections, and Basal Ganglia Encephalitis: Avery, 222
Echinacea
Eradicate the Pathogens: All About Antimicrobials, 91
EKG (See QT Interval)
Elderberry
Meet the Infectious Agents: Mycoplasma and PANS, 47
Meet the Infectious Agents: Viruses, 51
Eradicate the Pathogens: All About Antimicrobials, 90
Emotional lability
The PANS/PANDAS Journey: Considering PANDAS, 12
The PANS/PANDAS Journey: The Introduction of PANS, 28
Meet the Infectious Agents: Group A Streptococcus and PANDAS, 39
Case Studies: PANDAS/Autoimmunity: James, 185
Case Studies: PANS and COVID: Layla, 260
Enuresis (See Urinary symptoms/enuresis/bedwetting)
Environmental Relative Moldiness Index (ERMI)
The PANS/PANDAS Journey: Laboratory Tests, 7
Meet the Infectious Agents: Mold and Chronic Inflammatory Response Syndrome (CIRS), 62
Epsom Salt
Symptom-Specific Treatment: Tics, 139, 140
Symptom-Specific Treatment: Sleep, 168
Symptom-Specific Treatment: Constipation, 175
Case Studies: Autism and Mycoplasma PANS/PANDAS: Rashad, 204
Case Studies: Multiple Infections, Vitamin Deficiency, and Mycotoxins: Sofia, 217
Case Studies: Lyme, Multiple Co-Infections, and Basal Ganglia Encephalitis: Avery, 222
Erythema Migrans
Meet the Infectious Agents: Other Infections: Parasites, Clostridia, Lyme Disease, and
Co-infections, 76, 77
Essential Fatty Acids (EFAs)
The PANS/PANDAS Journey: Considering PANDAS, 23
285
Demystifying PANS/PANDAS
Meet the Infectious Agents: Mold and Chronic Inflammatory Response Syndrome (CIRS), 65
Eradicate the Pathogen: All About Antimicrobials, 92
Immunotherapy: Inflammation, 105, 106
Symptom-Specific Treatment: Brain Fog, 160
Symptom-Specific Treatment: Constipation, 174
Case Studies: Multiple Infection PANS/PANDAS: Matt, 198, 200
Case Studies: Autism and Mycoplasma PANS/PANDAS: Rashad, 204
Case Studies: Mitochondrial Dysfunction and Mycoplasma: Elijah, 212
Case Studies: PANDAS, Mold, Babesia and Dysautonomia: Zevin, 232
Case Studies: Tics and Antioxidants: Caleb, 244, 245
Case Studies: Autism and HDCs: Ty, 257
Case Studies: PANS and COVID: Layla, 261
Exercise
Meet the Infectious Agents: Mold and Chronic Inflammatory Response Syndrome (CIRS), 64
Symptom-Specific Treatment: Anxiety, 134
Symptom-Specific Treatment: Tics, 140, 147
Symptom-Specific Treatment: Obsessive-Compulsive Disorder (OCD), 155
Symptom-Specific Treatment: Sleep, 166
Symptom-Specific Treatment: Constipation, 174, 176
Symptom-Specific Treatment: Neurotherapy, 177, 180, 181
Case Studies: PANDAS/Autoimmunity: James, 188
Case Studies: Autism and Mycoplasma PANS/PANDAS: Rashad, 204
Case Studies: OCD/POTS: Kristen, 236, 239
Executive function/Processing deficits/Loss of academic skills
The PANS/PANDAS Journey: Considering PANDAS, 12, 14, 15
The PANS/PANDAS Journey: The Introduction of PANS, 28
Meet the Infectious Agents: Mold and Chronic Inflammatory Response Syndrome (CIRS), 63
Symptom-Specific Treatment: Brain Fog, 157
Symptom-Specific Treatment: Neurotherapy, 180
Case Studies: Multiple Infection PANS/PANDAS: Matt, 198
Exposure Response Prevention (ERP), (See Cognitive Behavioral Therapy (CBT) - Dialectical
Behavioral Therapy (DBT)/Exposure Response Prevention (ERP))
Fatigue
The PANS/PANDAS Journey: Considering PANDAS, 22
Meet the Infectious Agents: Mycoplasma and PANS, 46
Meet the Infectious Agents: Viruses, 49
Meet the Infectious Agents: Yeast Dysbiosis, 63
286
Nancy O’Hara, MD, MPH, FAAP
Meet the Infectious Agents: Other Infections: Parasites, Clostridia, Lyme Disease, and
Co-infections, 76, 80
Eradicate the Pathogens: All About Antimicrobials, 91
Immunotherapy: Inflammation, 101
Symptom-Specific Treatment: Anxiety, 133
Symptom-Specific Treatment: Tics, 145
Symptom-Specific Treatment: Constipation, 175
Case Studies: Mitochondrial Dysfunction and Mycoplasma: Elijah, 211, 212
